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Gaetano L Cambria

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

51 N 39th St, Philadelphia, PA 19104

PECOS Enrollment

This provider is enrolled in PECOS as GAETANO CAMBRIA.

Based on the most recent information from CMS, provider Gaetano L Cambria is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1831594944
Provider Type
Individual
Full Name
Cambria, Gaetano L
Credential
PAC

Gender
Male
Sole Proprietor
No
Enumeration Date
10/31/2014
Last Updated
9/20/2023

Contact Information

Practice Location

51 N 39th St, Philadelphia, PA 19104

(215) 662-9493

Unlisted Fax

Mailing Location

3600 Route 66, 3rd Fl, Neptune, NJ 07753-2645

(732) 807-0880

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00417600 New Jersey
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00417600 New Jersey
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA059672 Pennsylvania

Gaetano L Cambria

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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